National Provider Identifier
Kelly Gibson Bateman
Kelly Gibson Bateman is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 393-0554.
Profile Overview
- NPI
- 1962658468
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- August 15, 2008
- Last Updated
- August 15, 2008
Practice Location
- 275 Parrish St
- Suite A
- Canandaigua, NY 14424-1785
Phone: (585) 393-0554
Mailing Address
- 4263 County Road 18
- Canandaigua, NY 14424-8131
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1962658468
- Entity Type
- Individual
- Last Name
- Bateman
- First Name
- Kelly
- Middle Name
- Gibson
- Mailing Street Address
- 4263 County Road 18
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8131
- Mailing Country
- US
- Mailing Phone
- (585) 394-9423
- Practice Street Address
- 275 Parrish St
- Practice Address Line 2
- Suite A
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1785
- Practice Country
- US
- Practice Phone
- (585) 393-0554
- Enumeration Date
- August 15, 2008
- Last Updated
- August 15, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)